USA Valley Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

USA VALLEY HOSPICE INC

Practice address

12501 Chandler Blvd Ste 106
Valley Village, CA 91607-1954

Phone

(818) 875-0707

NPI assigned

Sep 3, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shavarsh Akarmazyan

Title

Owner

Phone

(818) 875-0707

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B21629

Legal name

USA VALLEY HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 15, 2021

Last certification

Jul 15, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 20, 2020 in CA

Enrollment address

12501 Chandler Blvd
Ste 106
Valley Village, CA 91607-1954

Listed as

USA Valley Hospice, IncCCN B21629

Ownership

For-Profit

Certified

Jul 15, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1972117158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD STE 106",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071954",
            "telephone_number": "818-875-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD STE 106",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071954",
            "telephone_number": "818-875-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA VALLEY HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "AKARMAZYAN",
        "authorized_official_first_name": "SHAVARSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-875-0707"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.